MEDICARE: SABRINA E BLANK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency		OH

General Provider Information

NPI Number	:	1952998502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABRINA E BLANK

Provider Business Mailing Address
First Line	:	3865 HOPPER HILL RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45255-5040
Country	:	US
Telephone Number	:	513-504-8049
Fax Number	:

Provider Business Practice Location Address
First Line	:	3865 HOPPER HILL RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45255-5040
Country	:	US
Telephone Number	:	513-504-8049
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/30/2020
Last Update Date	:	12/30/2020

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Directions to “ SABRINA E BLANK ” Practice Location

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